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<br />Mar 21 06 04.42p <br /> <br />Templa Calvaria C D C <br /> <br />714 543 2399 <br /> <br />p.4 <br /> <br />~0l1profit5' <br />~wr~ <br />'JOl1pnJI;I, 11'~1lI.H1tl' <br />\llj.llh." "I (.dit"Pl,.l <br /> <br />NONPROFITS' INSURANCE ALLIANCE OF CALIFORNIA <br />P.O. Box 8507, Santa Cruz, CA 95061 <br />P: (800) 359-6422 <br />F: (831) 459-0853 <br /> <br />6J <br /> <br />Nonprofits' Insurance <br />Alliance of California <br />A lDO 1'OItlSWH:1. ..J. WIT.OI MQNPIOIId <br /> <br />NONPROFITS OWN <br />COMMERCIAL LINES COMMON POLICY DECLARATIONS <br /> <br />PRODUCER: <br /> <br />Schweickert & Company <br />15 Peters Canyon Road <br />Irvine, CA 92606 <br /> <br />NAME OF INSURED AND MAILING ADDRESS: <br /> <br />Templo Calvaria Community Development Corporation <br />25tt W. 5th Street <br />Santa Ana. CA 92703 <br /> <br />POLICY NUMBER: 2006-17088. NPO <br /> <br />RENEWAL OF NUMBER: 2005-17088- NPO <br /> <br />POLICY PERIOD: <br /> <br />FROM 0210812006 TO 0210812007 <br />AT 12:01 A.M. STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE <br /> <br />BUSINESS DESCRIPTION: Job Resources and Educational Services for Low Income Families <br /> <br />IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS <br />POLICY, WE AGREE WITH YOU TO PROVIDE THE COVERAGE AS STATED IN THIS POLICY. <br /> <br />THIS POLICY CONSISTS OF THE FOU-OWING COVERAGE PARTS FOR WHICH A PRBlIUM IS INDICATI!l), THESE PR!&MIUMS MAY Be SUBJECT TO ADJUSTMENT. <br />PREMIUM <br /> <br />$4,176 <br /> <br />$150 <br /> <br />Not Covered <br /> <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART. OCCURRENCE .................. <br />COMMERCIAL AUTO LIABILITY COVERAGE PART .................................................. <br />COMMERCIAL AUTO PHYSICAL DAMAGE COVERAGE'PART .................................... <br />IMPROPER SEXUAL CONDUCT COVERAGE PART .......................... <br />COMMERCIAL LIQUOR LIABILITY COVERAGE PART ................................................... <br />TERRORISM COVERAGE (Certified Acts) ....................................................................... <br /> <br />TOTAL: <br /> <br />$2,700 <br />INCLUDED <br />$52 <br /> <br />$7 ,078 <br /> <br />FORM(S) AND ENDORSEMENT(S) MADE A PART OF THIS POLICY AT TIME OF ISSUE:' <br />NLAC-Gl~O NIAc-LL.NPO NIAC-.sc-NPO NIAC-AL-NPO SCHEDULE Go <br />NIAC-E27J9.a8, CG 00 01107 98, NIAC-XflO8 02, NlAc.e3J1-D9, NlAC-E4I1-91, <br />N\AC-E1117--92. NtAc.E121~SCZ. N1AC-E1&'3-!M, NIAC-E22f8..95, NJAC.E2811..99, <br />N1AC-E321a-01, NAC-E33l1.Q2, co 00 33101 00. CG 20 11-NPQlD1 96, co 20 121107 98, <br />CG202CliQ704, CG2034I0704. CG2171/1202, 002271111-65. CQ2407I1t~, <br />IL. 00 17/11 98, Il02 70107 02, Il 09 8QI05 cw, <br /> <br />SCHEDUL.E L, <br />NIAC-E5i3-91, <br />NIAC-E29I1-E1S. <br />CG2018111-85. <br />CG2504I11-85, <br /> <br />SCHeDULE SA.. <br />NIAc.El/10 04, <br />N1.6.C-E30/4-00, <br />CG202QI11.a5, <br />CGl794J04 93, <br /> <br />.OMrrs APPLICABLE FORMS AND ENDORSEMENTS IF SHOWN IN <br />SPECFlC COVERAGE PART I COVERAGE FORM DeCLARATIONS. <br /> <br />COUNTERSIGNED: 0211312006 BY <br /> <br />~ r!. ~. <br /> <br />(AUTHORIZED RePRESeNTATIVE) <br />THESE DECl.ARATIONS AND THE C0lt8l0N POUCV DECLARATIONS, F APPUCASLE, TOGETHER WITH THI! COMMON POLICY CONDITJONS,. COVERAGE POIIIM(S) <br />AND FORIISAND ENDORBEIENTB,. AIti.ISSUI!D TO PCRM A ~ART THUl!CP.COMPt.ER: THE A80VE NUM8EREDPOLICY. <br />NIAC . CO - NPO 10'"'' DO) <br />